Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

Order Display Name: Geisinger Epic Procedure Code Or ID CPT Code:  

HERPES SIMPLEX/VARICELLA ZOSTER VIRUS, RAPID CULTURE

ORDERING INFORMATION:
Geisinger Epic Procedure Code: LAB1249         Geisinger Epic ID: 52921

SPECIMEN COLLECTION
Specimen type:
Tissue, conjunctival swab, or body fluid
Preferred collection container:
Alternate Collection Container:
Viral/Chlamydia transport (M4 Transport)
Sterile specimen container
Specimen required:
3 mL tissue, or conjunctiva swab, or body fluid; minimum 1 mL

SPECIMEN PROCESSING
Specimen processing instructions:
To maintain optimum viability, place swab or fluid into VCM (equal volumes of fluid and VCM) or equivalent and transport the specimen to the laboratory as soon as possible.Best recovery is obtained when the specimens are refrigerated at 2-8°C or kept on wet ice following collection and while in transit. If there will be a long delay before processing, specimens in VCM or equivalent should be frozen at -70°C or colder and transported on dry ice. Storage or transport at -20°C is not acceptable. Raw (unpreserved) samples should only be refrigerated and not frozen. 
Transport temperature:
Refrigerated (cold packs).
Specimen stability:
VCM or equivalent: Room temperature: Unacceptable. Refrigerated: 72 hours. Frozen -20° C: Unacceptable. Frozen -70° C: 30 days.
Raw (unpreserved specimen): Room temperature: Unacceptable. Refrigerated: 72 hours. Frozen: Unacceptable.
Rejection criteria:
CSF • Dry swabs • Formalin or other fixatives • Bacterial transport system • Molecular transport system • Slides • Sputum • Stool • Urine • Wooden-shaft and calcium alginate swabs • Respiratory specimens

TEST DETAILS
CPT code(s):
87254 (x2)
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.  The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.
Test includes:
For respiratory samples please consider using the following offerings: Herpes Simplex Virus Culture, Herpes Simplex Virus, Type 1 and 2 DNA, Qualitative, Real-Time PCR,Varicella-Zoster Virus DNA, Qualitative, Real-Time PCR.
Methodology:
Rapid culture
Synonyms:
Quest test code 16829, HSV/VZV Cult
Clinical significance:
Both HSV and VZV cause a multitude of human diseases and are particularly severe in patients whose immune systems are immature (neonates), suppressed (drug therapy), or compromised patients (elderly, AIDS). HSV infections include genital lesions, cold sores, pharyngitis, ocular keratitis, and encephalitis. VZV causes both chickenpox and shingles, which represent different clinical manifestations of the same infection with VZV.

Performing Locations

Quest Diagnostics

Technical Lead: Michael Weaver    
Frequency: Set up: Daily; Report available: 5 days    
Performed stat? No
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